Facility Evaluation Report

On 07/13/2023 at 10:00am Licensing Program Analyst (LPA) Arielle Pascua and Valley Mountain Regional Center Liaison (VMRCL), Jennifer Stone arrived to this facility unannounced to conduct a case management visit. LPA Pascua and VMRCL Stone were greeted staff member (SM), Maria Aquino and explained the purpose of the visit. LPA asked that SM Aquino contact the Facility Designated Administrator, Jessica Dizon to inform her that CCL and VMRC were present at this time. It was learned that the FDA was unable to come to the facility but was going to ask the Facility Designated Representative, TJ Castro to come to the facility. At 10:30am, FDR Castro arrived at the facility.

Current census was 6. 5 out of 6 residents were out at their respective day programs.

A tour of the facility was conducted. A brief interview with FDR Castro was conducted.

The purpose of this visit was to follow up on an incident that was received by the department on 07/07/2023 concerning R1. It was learned that around 3:30pm, several individuals rang the doorbell and demanded for R1 because they stole marijuana from them. Staff asked the the individuals calm down so that they could understand what happened. The individuals propped a gun at the staff members face and demanded for the resident. The individuals tried to gain entrance the facility but was unable to obtain entrance. The staff gathered all the residents in a secluded area while they called 911. The individuals began to walk around the facility banging and destroying different parts of the house. As the staff waited for the police, the individuals were able to obtain entrance through the back sliding glass door. The individuals questioned R1 in the front living room and ran out. The police arrived shortly after and were able to apprehend the individuals and mitigate the situation.

LPA Pascua conducted staff interviews. LPA reviewed facility records including but not limited to, emergency plan, R1's IPP, Admissions Agreement, Medication Administration Record, and Psychiatric Evaluation. It was learned based on interviews conducted the the facility chose to turn off the internet as a form of intervention to mitigate any further incidents.

Based upon interviews and documentation reviewed and received, The following deficiencies were cited per Title 22 Division 6 of the California Code of Regulations. Exit interview conducted with TJ Castro, a copy of the LIC809, LIC809-D and appeals rights were provided upon exit.